Injury Line: Central Valley Nissan
| Inspection Nr | 125838516 |
| Investigation Nr | 201483229 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Dislocation |
| Part of Body | Hip(S) |
| Source of Injury | Ladder |
| Event Type | Fall(From Elevation) |
| Environmental Factor | Other |
| Human Factor | Malfunc In Securing/Warning Op |
| Occupation | Automobile mechanics |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task not regularly assigned |
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